Can You Get STDs or HIV from Mutual Masturbation and Oral Sex?

Sexually transmitted infections (STIs)

Hello doctor: The other party is a sex worker, and they only gave me a handjob and licked my body.
I only touched their genitals and breasts.
There was no sexual intercourse at all.
Am I at risk of contracting STDs or HIV?

Mr. Huang, 20~29 year old female. Ask Date: 2016/03/09

Dr. Liu Jiaju reply Urology

Although the likelihood of your situation occurring is low, it is still recommended to visit a urologist for sexually transmitted infection screening for safety reasons.

Reply Date: 2016/03/09

More Info

When it comes to the transmission of sexually transmitted diseases (STDs) and HIV, understanding the risks associated with various sexual activities is crucial. In your case, you mentioned engaging in mutual masturbation and oral sex with a sex worker, which raises valid concerns about potential exposure to infections.

Risk of STDs and HIV Transmission
1. Mutual Masturbation: This activity generally carries a lower risk for STD transmission compared to penetrative sex. However, if there are any cuts or abrasions on your hands or the other person's genitals, there is a potential risk for transmission of infections. The skin is a barrier, but any break in that barrier can allow pathogens to enter.

2. Oral Sex: The risk of transmitting STDs, including HIV, through oral sex is lower than through vaginal or anal intercourse, but it is not zero. The presence of cuts, sores, or gum disease in the mouth can increase the risk of transmission. If the sex worker had an STD, there is a possibility of transmission through oral contact with genital secretions.

3. HIV Transmission: HIV is primarily transmitted through direct contact with certain bodily fluids, including blood, semen, vaginal fluids, and breast milk. Oral sex is considered a lower-risk activity for HIV transmission, but it is still possible, especially if there are open sores or bleeding gums in the mouth.

Conclusion on Your Situation
Given that your activities involved mutual masturbation and oral sex without penetrative intercourse, the overall risk of contracting STDs or HIV is relatively low, but not absent. If the sex worker was infected with an STD or HIV, there is a possibility of transmission through the activities you described, particularly if there were any open wounds or sores involved.

Recommendations
1. Testing: It is advisable to get tested for STDs, including HIV, regardless of the perceived risk. Many STDs can be asymptomatic, meaning you may not show symptoms even if you are infected. Testing is the only way to know for sure. It is recommended to get tested about 2-6 weeks after potential exposure and again at 3 months for a conclusive result.

2. Monitoring Symptoms: Pay attention to any symptoms that may arise, such as unusual discharge, sores, or flu-like symptoms. If you experience any concerning symptoms, seek medical attention promptly.

3. Safe Practices: In the future, consider using protection during oral sex, such as dental dams or condoms, to reduce the risk of STD transmission. Open communication with sexual partners about health status and safe practices is also essential.

4. Consult a Healthcare Provider: If you have further concerns or questions about your sexual health, consulting a healthcare provider or a specialist in infectious diseases can provide you with personalized advice and support.

In summary, while the risk of contracting STDs or HIV from mutual masturbation and oral sex is lower than from penetrative sex, it is not negligible. Testing and safe practices are key components of maintaining sexual health.

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